828 Rainbow Rd Davie County, NC Tax Parcel Report Friday, October 7, 2016
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WARNING: THIS IS NOT A SURV�Y
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' Parcel Information
Parcel Number: D600000030 Township: Farmington
NCPIN Number: 5852733383 Municipality:
Account Number: 82513286 Census Tract: 37059-802
Listed Owner 1: GRIFFEY JAMES E Voting Precinct: SMITH GROVE
Mailing Address 1: 828 RAINBOW ROAD Planning Jurisdiction: Davie County
City: ADVANCE Zoning Class: DAVIE COUNTY R-20
State: NC Zoning Overlay: DAVIE COUNTY QD
Zip Code: 27006-0000 Voluntary Ag.District: No
Legal Description: 1 AC RAINBOW RD Fire Response District: SMITH GROVE
Assessed Acreage: 0.86 Elementary School Zone: PINEBROOK
Deed Date: 11/1999 Middle School Zone: NORTH DAVIE
Deed Book/Page: 003200085 Soil Types: EnB
Plat Book: Flood Zone:
Plat Page: Watershed Overlay: DAVIE COUNTY
Building Value: 115530.00 Outbuilding&Extra 0.00
Freatures Value:
Land Value: 23610.00 Total Market Value: 139140.00
Total Assessed Value: 139140.00
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9��/�, All data Is provided as is without warranty or guarantee of any kind either expressed or implied Including but not Iimited to the
Davie County� Imptied warranties of inerchantability or Fitness for a paRicular use.All usen of Dav�e County's GIS website shall hold harmless the
County of Davle,North Carolina,its agents,consuitants,contractors or employees from any and ail claims or eauses of actlan due to
�o�,N.�'�� NC or arising out ot the use or Inability to use the GIS data provlded by this website.
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� Davie County Health Department
`�9�i 6j�' Environmental Health Section ��;, � .
� � :�� P.O. Box 848 r , . � ,
`� � ,�'`,�,ti, 210 Hospital Street ;���
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Q�, ,��„ Courier# : 09-40-06 ,
Mocksville, NC 27028 r
Phone:(336)-753-6780 Fax:(336)-753-1680
ON-SITE WASTEWATER CERTIFICATION
(Check One) Replacement Remodeling Reconnection
Name: �����C� L,l^A✓n�h�/<,�•� Phone Number ,J���3g�37�� (Home)
Mailing Address:�f���"�/��i (Work)
��J�<S�/�!�/� ,/J� EmailAddress:/YJnGLl,����i�.�S�iL�-�iis?�� ��U��
Detailed Directions To Site: �S� ��orJ �i��n�,P �� �.Z/11��� /C� b..v �r��ivf�olil,
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Property Address• � n � d�,J � /�7n t,IU/ �-G /��- �7Q�'�
Please Fill In The Following Information About The EXISTING Facility:
Name System Installed Under: E' o �./' Type Of Facility: /� ��l
Date System Installed(Month/Date/Year): �%G I Number Of Bedrooms: � Number Of People:�_
Is The Facility Currently Vacant? Yes � If Yes,For How Long?
Any Known Problems? Yes i� If Yes,Explain:
Please Fill In The Following Information About The NEW Facility:
Type Of Facility: -O n/ C"�n�'� � � Number Of Bedrooms: Number of People
Pool Size: Garage Size: Other:
Requested By:�t� � i-i� ��__--. Date Requested: / — l3 r��
(Signature) � -
For Environmental Health Office Use Only
prove Disapproved
Comments:
Environmental Health Specialist Date: `— '
*The signing of this form by the Environmental Health Staff is in no way intended,nor should be taken as a guarantee
� (extended or limited)that the on-site wastewater system will function properly for any given period of time.
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Payment: Cash Check Money Order # Amount:$ Date: � '(
Paid By: Received By:
Account#: Invoice#:
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OTAL QVALITY INDE% tl2���� ��S` ; 0133 850 /19l6 WO Q I 13000 � i�'�� /�IA I ,
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DIYSTMENTS
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ND\EST US! LOGL FROM DEPTH/ lll� COND RI I1C LC TO O�D UMR lANO UMT TOTAL AOIUSiED U1ND OV[RRID! I�ND
Sf COD! 20NINU TI1G! EFT SII[ MOD ��R 01 VC PR�CC UNRS TW I1D)ST UMiTYR�CE V W! V�LU[ MOTES
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OT�L VRESENT USE DRT�
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